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Home My WebLink AboutZ-23378 FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING CERTIFICATE OF OCCUPANCY No Z-23378 Date NOVEMBER 30, 1994 THIS CERTIFIES that the building DWELLINGS Location of Property 3820 SOUTH HARBOR ROAD SOUTHOLD, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 86 Block 3 Lot 1 Subdivision Filed Map No. Lot No. conforms substantially to the Requirements for a One Family Dwelling built Prior to: APRIL 9, 1957 pursuant to which CERTIFICATE OF OCCUPANCY NUMBER Z-23378 dated NOVEMBER 30, 1994 was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued is TWO ONE FAMILY DWELLINGS & ACCESSORY STRUCTURES The certificate is issued to MICHAEL WORTIS & ORS (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N/A . PLUMBERS CERTIFICATION DATED N/A *PLEASE SEE ATTACHED INSPECTION REPORT. uil ing Inspector Rev. 1/81 • BUILDING DEPARTMENT TOWN OF SOUTHOLD HOUSING CODE INSPECTION REPORT' LOCATION: 3820 SOUTH HARBOR ROAD SOUTHOLD, NEW YORK number S street municipality SUBDIVISION MAP .NO. LOT(s) NAME OF OWNER (s) MICHAEL & RUTH WORTIS OCCUPANCY A-1 RES. OWNER type owner—tenant ,. ADMITTED BY: FRANK ARNOLD ACCOMPANIED BY: SAME KEY AVAILABLE SUFF.CO. TAX MAP NO. 100 — — — SOURCE OF REQUEST: CHARLES CUDDY, ATTY DATE: OCT. 26, 1994 DWELLING: TYPE OF CONSTRUCTION WOOD FRAME O STORIES ONE # E%ITS ONE FOUNDATION POST CELLAR CRAWL SPACE TOTAL ROOMS: 1ST FLR. 5 2ND FLR. 3RD FLR. BATHROOM (s) ONE TOILET ROOM (s) UTILITY ROOM PORCH TYPE WRAP AROUND SCREEN DECK, TYPE PATIO BREEZEWAY ' FIREPLACE WOOD STOVE GARAGE DOMESTIC HOTWATER YES TYPE HEATER ELECTRIC AIRCONDITIONING TYPE HEAT NONE WARM 'AIR HOTWATER OTHER• . LAUNDRY ROOM, WORKSHOP & ATTACHED ONE GARAGE (CEMENT BLOCK) ACCESSORY STRUCTURES: GARAGE, TYPE OF CONST. STORAGE, TYPE CONST. SWIMMING POOL , GUEST, TYPE CONST. OTHER". ACCESSORY BOAT HOUSE STRUCTURE ON LOCUST POSTS. VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE LOCATION DESCRIPTION ART. SEC. REMARKS: INSPECTED BY DATE OF INSPECTION OCTOBER 31, 1994 TIME START 10:30 END 12:30 {fit --w�#wwi.krx..:,.:?.;.ewsa,e.._..e-„�,.:,:.c,�ezwur..�s�c G.sWaJ:iteryn...,.>i..we._ .z._..z...... .-.,....�. :,h•.cs-cr ......:,, �.�+?sa;,r_rr.rt._..-.bKvsmi^n...,�..=.*7 .+�?''_ _� . BUILDING DEPARTMENT TOWN OF SOUTHOLD HOUSING CODE INSPECTION REPORT LOCATION• 3820 SOUTH HARBOR ROAD SOUTHOLD,' NEW YORK . number & street municipality SUBDIVISION -MAP NO. LOT (s) NAME OF OWNER (s) MICHAEL & RUTH WORTIS OCCUPANCY A-1 RES. OWNER (type). (owner—tenant) SA FRANK ARNOLD ACCOMPANIED BY: ME ADMITTED BY: . ' KEY AVAILABLE SUFF. CO. TAX MAP NO. 1000-86-3-1 .SOURCE OF REQUEST: CHARLES- CUDDY, ATTY • DATE: OCT. 26, 1994 DWELLING: "CARETAKERS COTTAGE" TYPE OF CONSTRUCTION WOOD FRAME # STORIES 1-1/2 # EXITS 2 FOUNDATION BRICK CELLAR . PARTIAL CRAWL SPACE TOTAL ROOMS: 1ST FLR. 6 2ND FLR. 2 3RD FLR. BATHROOM (s) ONE TOILET ROOM .(s) UTILITY ROOM PORCH TYPE DECK, TYPE PATIO, TYPE BREEZEWAY FIREPLACE GARAGE DOMESTIC HOTWATER SOLAR TYPE HEATEIELECTRIC "BACK UP AIRCONDITIONING TYPE HEAT OIL WARM AIR XX HOTWATER OTHER: ACCESSORY STRUCTURES: GARAGE, TYPE OF CONST. 1 CAR WOOD FRAME STORAGE, TYPE CONST. SWIMMING POOL GUEST,- TYPE CONST. OTHER: VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE LOCATION DESCRIPTION ART. SEC'. ARKS. BP #22493-Z CO Z-23377 FOR "CHICKEN COOP" REPAIRS INSPECTED BY:— ✓ DATE ON INSPECTION OCTOBER 31, 1994 F SH TIME START 10:30 END 12:30 e-tz4'iG�t1.a-+as_:'-,+•'we-Ysei�awC.Aa.t..'{ '-1'.a.,?.en_�:__'.�:ri�:''Y=kR .:"R'.. _h8�:.�.�r Ar_..2..�a_. cee_•P i,' iZrbri7++.... ;: .,.,,s«.a.iF .___.;+.^ti.}3.'.w''c•'�'1"#S_y,ri�' t "�• �a.ii+e"'vd]el1&xl�.' �yir'd_ Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT OCT 2 7 1 �J TOWN HALL - 765-1802BLDG.DEPT. �� _TOVIVN OF SOUTHOLD APPLICATION FOR.CERTIFICATE OF OCCUPANCY , A. This application must be filled in by typewriter OR ink and submitted to the building inspector with the following: for new building or new use: 1. Final survey of property with accurate location of all buildings, property lines, streets, and unusual natural or topographic features. 2. Final Approval from Health Dept. of water supply and sewerage-disposal(S-° form) . 3. Approval of electrical installation from Board of Fire Underwriters. 4. Sworn statement from plumber certifying that the solder used in system contains less than 2/10 of l% .lead. 5. Commercial building, industrial building, multiple residences and similar buildings and installations, a certificate of Code Compliance from architect or engineer responsible for the building. 6. Submit Planning Board Approval of ,completed site plan requirements. B. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey of property showing all property lines, streets, building and unusual natural or topographic features. 2. A properly completed application and a consent to inspect signed by the applicant. If a Certificate of Occupancy is denied, the Building Inspector shall state the reasons therefor in writing to the applicant. C. Fees 1. Certificate of.Occupancy - New dwelling $25.00, Additions to dwelling $25.00, Alterations to dwelling $25.00, Swimming pool $25.00, Accessory building $25.00, Additions to accessory building $25.00. Businesses $50.00. 2. Certificate of Occupancy on Pre-existing Building - $100.00 3. Copy of Certificate of. Occupancy - $20.00 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 . Date ,OCt Ober. ;L�. . .19.94 . . . . . . . . . . . . . . . . . . . . . New Construction. . . . .. . . . . . Old Or Pre-existing Building.4 . . . . . . . . . . . . . . . Location of Property. . . �Tlf). . . . . . . . . . . • South. . . . . . . . . . . . . . .Road. . . . . . , , .Southold „, , . • _ • • • . • . House No. -- . . . • .Street. • • . . Hamlet - Onwer or Owners of Property. , Mi.chael• •Wort•i.s , . .Ruth • Emerson .Worti.s : . Nicholas. •Pott. • • . . County Tax Map No 1000, Section. • 086 :00• • • • ,Block. • 03•.•00• • • • • • • ,Lot. . . . . . . . . . . . . . . Subdivision. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Filed Map. . . . . . . . . . . .Lot. . . . . . . . . . . . . . . . . . . . . . Permit No. . . . . . . . . . . . . . . .Date Of Permit. . . . . . . . . . . . . . . .ApplicantCharl.eS • R;. .Cuddy • • • - Health Dept. Approval. . . . . . . . . . . . . . . . . . . . . . . . . .Underwriters Approval. . . . . . . . . . . . . . . . . . . . . . . Planning Board Approval. . . . . . . . . . . . . . . . . . . . . . . . Request for: Temporary Certificate. . . . . . . . . . . Final.Certicate. . .. . . . . . . . Fee Submitted: $. . . . . . . . . . . . . . . . . . . . . . . . . . . . . / �� APPLICAN1Charle •R. Cuddy r • A F F I D A V I T STATE OF NEW YORK) ) ss. . COUNTY OF SUFFOLK) CHARLES R. CUDDY, being duly sworn, deposes and says: I am the attorney for Michael Wortis, Ruth Emerson Wortis, and Nicholas Pott, who own certain premises at South Harbor Road, Southold, New York, known and described on the Suffolk County Tax Map as District 1000, Section 086. 00, Block 03 . 00, Lot 01. 000. The subject premises includes a residence, garage and cottage which have existed at the site for many years and were, in fact, constructed prior to 1957. Annexed hereto is a copy of a survey showing the subject parcel, as well as adjoining parcels. Also annexed is the Application for a Certificate of Occupancy (Pre-Existing Use Certificate) together with the required fee. The records for the subject parcel reflect ownership in the present owners' family prior to 1930 and I am advised that the buildings located at the premises were constructed at that time. I make this affidavit in order to obtain Certificates of Occupancy on Pre-existing Building for the buildings at this parcel (Tax Map No. 100.0-086. 00-03 . 00-01.000) . As the attorney for the owner, permission is hereby given for the building inspector to inspect the site and request is made for the issuance of a Pre-Existing Use Certificate. CYO 44L (Charles R. Cudd Sworn to before me this v27-ct day of October, 1994 UNDA I COOPER Notary Public,State of Now York No.4822563,Suffolk County Term Expires December 31.19 l Y